1490 Thomas Lane - COC•
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11,11City oiEapll
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SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ;'-A` 1 VALCs VV -L S LCCv`t—e
COMPLIANCE WITH INTI JAL INSPEC TION
411Ik city of Egli
his is to certify that the property listed above has been inspected by authorized City personnel on 10
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
I This is to certify that the property listed above has been found to be in compliance with Section 3 40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
ri City Sanitary Sewer Permit 1 I City Plumbing Permit
201C.)
NOTA,: Applicable only if box A checked: Based on a review of the Sewer Service video inspection/report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize apotentialblockage due to;'
Grease Build-up, Root Intrusion, Dip/Settlement in Pipe, Other:
City Approved: i vim,
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel Pile)
l / 10 I
Date
rev 2 23.2010